Individual
DR. KEITH A. WUNSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8472 SIMMOND ST, FORT MEADE, MD 20755-5700
(301) 677-7971
(301) 677-6678
Mailing address
6348 DARING PRINCE WAY, COLUMBIA, MD 21044-6040
(240) 264-6069
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
013956
MO
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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